Lisa Cooper

Author of: Implementing NICE guidance

lisa-cooperA medical doctor by background, Lisa has worked for 18 years as a senior NHS manager in both strategic and operational roles. In this capacity, she has coordinated the training of medical and NHS management students, and developed a management education programme for middle grade doctors.

Lisa recently completed a research project into the implementation of NICE technology appraisal guidance for her Health Executive MBA dissertation project. She has been a member of the NICE Technology Appraisal Committee since 2013 and recently joined the NICE Health Technology Adoption Panel.

Lisa is also accredited with the British Society of Echocardiography and continues to contribute to echocardiography clinical work.

Summary: Implementing NICE guidance

  • The National Institute for Health and Care Excellence (NICE) provides national guidance and advice to support the improvement of health and social care in England*
  • NICE guidance and advice sets priorities for investment of public funds through the identification of most clinically and cost effective treatments and services
  • NICE issues five types of guideline: clinical guidelines, public health guidelines, social care guidelines, safe staffing guidelines and medicines practice guidelines. In addition, it provides quality standards, technology appraisals and advice on highly specialised technologies, diagnostic services, medical technologies and interventional procedures
  • Evidence suggests that uptake of NICE guidance is variable. Only the implementation of technology appraisal guidance is mandatory for NHS organisations
  • Implementing NICE guidance requires change – influences of change may be categorised into three clusters: the innovation itself, the characteristics of the people involved and the context of its introduction
  • Guideline format and content are important aspects of implementation. Conceptual frameworks comprise the following elements: adaptability, usability, validity, applicability, communicability, accommodation, implementation and evaluation
  • Key elements to successful implementation of NICE guidance include: board support, clear leadership, a NICE manager, support from a multidisciplinary team, a systematic approach to implementation/financial planning and a process to evaluate uptake and feedback
  • NICE provides implementation tools, including a forward planner, costing templates, slide sets, audit support tools, commissioning guides, shared learning and implementation advice
  • The NICE uptake database can be used to find national audit data and external literature relating to NICE recommendations